Manager, Prior Authorizations

Manager, Prior Authorizations

Natera is a global leader in cell-free DNA testing and genetic diagnostics, committed to transforming healthcare through innovation and compassion. The Revenue Cycle Management team plays a crucial role in this missionensuring that patients receive access to life-changing testing while maintaining operational and financial excellence.

The Manager, Prior Authorizations (Submissions Team) leads Natera's Prior Authorization (PA) Submissions function, ensuring accurate, timely, and compliant submission of prior authorization requests across the company's testing portfolio. This leader oversees a high-volume, metrics-driven operation that is critical to revenue capture and payor compliance.

The role involves managing daily production workflows, developing staff, and partnering cross-functionally to improve turnaround times, reduce denials, and enhance overall revenue cycle performance. The ideal candidate combines operational discipline, data-driven decision-making, and strong leadership in payor policy navigation and healthcare reimbursement processes.

Key Responsibilities

Operational Leadership

• Oversee daily operations of the Prior Authorization Submissions team, ensuring that all requests are processed accurately and within defined turnaround times (TAT).
• Monitor and optimize team productivity and quality performance, ensuring adherence to departmental KPIs (?95% accuracy; daily volume targets).
• Manage queue prioritization, workload balancing, and escalation handling for complex or high-priority cases.
• Evaluate authorization trends, payor turnaround times, and process adherence.

Workflow Optimization & Compliance

Team Management & Development

Performance Analytics & Continuous Improvement

Required Knowledge, Skills, and Abilities

Qualifications